Healthy Physique Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

030276 Issued in NY

Legal business name

HEALTHY PHYSIQUE PHYSICAL THERAPY

Practice address

319 Utica Ave
Brooklyn, NY 11213-4942

Phone

(917) 805-7031

NPI assigned

Apr 11, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Karen ThernelanNPI 1285870279

Title

Doctor of Physical Therapy/ Ceo

Phone

(917) 805-7031

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Thernelan, DPT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1285870279
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1699032920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 JEFFERSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161708",
            "telephone_number": "917-805-7031",
            "fax_number": "718-629-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134942",
            "telephone_number": "917-805-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY PHYSIQUE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "THERNELAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY/ CEO",
        "authorized_official_telephone_number": "917-805-7031",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Brooklyn, NY
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• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.